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Figure 1: Répartition de la population en fonction du niveau d’IMC selon le rapport Obépi 2012

Tableau I: Définitions du syndrome métabolique

Schéma 1 : Actions de l’insuline chez les individus sains Schéma 2 :Physiopathologie des stéatopathies métaboliques Figure 2 : Aspects histopathologiques des NAFLD

Tableau II: Score NAS et fibrose selon Kleiner et al.

Tableau III: Score SAF et algorithme diagnostique selon Bedossa et al.

Tableau IV. Caractéristiques histopathologiques des 857 patients obèses morbides Tableau V. Données cliniques et biologiques des 857 patients obèses morbides répartis selon la présence ou non de NASH

Tableau VI. Données cliniques et biologiques des 857 patients obèses morbides répartis selon la présence ou non de NAFLD et de NASH

Tableau VII. Capacité à diagnostiquer une NAFLD ou une NASH de l’ALAT et des marqueurs de l’insulino-résistance (n=857)

Tableau VIII. Caractéristiques histopathologiques des 362 patients obèses morbides Tableau IX. Données cliniques et biologiques des 362 patients obèses morbides répartis selon la présence ou non de NASH

Tableau X. Données cliniques et biologiques des 362 patients obèses morbides répartis selon la présence ou non de NAFLD et de NASH

Tableau XI. Valeurs diagnostiques (AUROCs) pour la présence de NAFLD et de NASH (n=362)

Figure 3 : Courbes ROC pour le diagnostic de NAFLD et de NASH (n=362)

Figure 4 et 5 : Marqueurs potentiels de NASH: valeurs selon le grade de stéatose et corrélation (n=362)

Tableau XII : Valeurs de l’HOMA-IR, l’ALAT et des marqueurs sériques de mort selon la présence ou non de NASH pour un même grade de stéatose (n=362)

Tableau XIII : Performance de différents modèles pour le diagnostic de NASH (n=362)

Figure 6 : Valeur diagnostique du Modèle 1 pour le diagnostic de NASH : Age, ALAT, adipose-IR, marqueur de mort totale

Figure 7 : Valeur diagnostique du Modèle 2 pour le diagnostic de NASH : Âge, tour de taille, HOMA-IR, marqueur de mort

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